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应用Moran指数进行空间相关性检验,发现30个省、市、自治区的城镇医疗保健支出之间存在集群效应,并通过构建的空间面板计量模型发现2007~2010年间医疗保健支出溢出效应显著,人均工业烟尘排放对医疗保健支出的影响显著,人均社会总产出在三个因素中影响最大,人群年龄结构影响次之。基于实证分析结论提出三项建议:增强居民医疗保健服务消费能力、提供更完善的老龄人口医疗服务、更加重视环境保护问题。
The Moran index was used to test the spatial correlation. It was found that there was a cluster effect among urban health care expenditures in 30 provinces, municipalities and autonomous regions. Through the spatial panel measurement model constructed, the spillover effect of healthcare expenditure was significant between 2007 and 2010, and per capita industry Soot emissions have a significant impact on health care expenditures. Per capita total social output has the strongest impact on the three factors, with the secondary effect on the age structure of the population. Based on the conclusion of the empirical analysis, we put forward three suggestions: to enhance the spending power of residents in health care services, to provide better medical services to the elderly, and to pay more attention to environmental protection.